NPIMap

Organization Active NPI

Branch Medical Clinic Area 62

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Camp Pendleton, CA
National Provider Identifier
1871832394
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BRANCH MEDICAL CLINIC AREA 62
Practice address
BLDG 620306 8TH Street
Camp Pendleton, CA 92055
Phone
(760) 725-7100
NPI assigned
Feb 4, 2013
Last updated
May 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HOSPITAL CAMP PENDLETONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William M Condon
Title
Bumed Ubo
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

BLDG 620306 8TH Street
Camp Pendleton, CA 92055

Mailing address

BLDG 620306 8TH Street
Camp Pendleton, CA 92055
Phone (760) 725-7100

Other names 1

  • 62MCMH AREA SAN MATEO 6225 Other name

National Provider Directory

National Provider Directory
Tax ID family
Branch Dental Clinic San Onofre43 organizations share this tax ID, including this one
Part of
Branch Dental Clinic San Onofre

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1871832394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 620306 8TH STREET",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 620306 8TH STREET",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC AREA 62",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL CAMP PENDLETON",
        "enumeration_date": "2013-02-04",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUMED UBO",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "62MCMH AREA SAN MATEO 6225",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "62MCMH AREA SAN MATEO 6225",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.